Dental
Kimberly T. Lough, DDS, MS, PLLC
Kimberly T. Lough, DDS, MS, PLLC was paid $288K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoKIMBERLY T. LOUGH, DDS, MS, PLLC
ST ALBANS, WV 25177
ST ALBANS, WV 25177
33aNPI1992905129assigned 07/25/2007
33bProvider typePediatric Dentist
28Total paid$288K
24GClaims9,522
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in West Virginia
Rank by total paid#9 of 17
Median peer was paid$288K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,207 | $61K | |
| 2019 | 2,231 | $61K | |
| 2020 | 1,451 | $31K | |
| 2023 | 13 | $220.00 | |
| 2024incomplete | 3,620 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,933 | 1,903 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,165 | 2,136 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 2,485 | 2,439 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 220 | 111 | $23K |
| D0272 | Bitewings - two radiographic images | 6.0% | 714 | 697 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 368 | 344 | $14K |
| D1110 | Prophylaxis - adult | 4.1% | 206 | 204 | $12K |
| D1351 | Sealant - per tooth | 3.7% | 357 | 88 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 88 | 60 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 124 | 40 | $7K |
| D0330 | Panoramic radiographic image | 1.9% | 78 | 78 | $5K |
| D1354 | <1% | 54 | 17 | $3K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 199 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 54 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 35 | $1K |
| D2940 | <1% | 23 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 17 | $691.90 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 48 | $363.00 |
| D1999 | 0% | 354 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLOUGH, KIMBERLY (PEDIATRIC DENTIST / OWNER)